ROBERT JAMES DAVIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

First Name

ROBERT

Middle

JAMES

Last Name

DAVIS

Business Name

ROBERT JAMES DAVIS

Original Issue Date

06/23/2004

Effective Date

06/24/2024

Expiration Date

09/30/2027

City

MOKENA

State

Zip

60448

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2024